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OFFICIAL RESPONSES TO VENDOR QUESTIONS RFP-2020 …independent network is maintained. The selected...

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New Hampshire Department of Health and Human Services Fee-for-Services (FFS) Medicaid Beneficiaries RFP-2020-DDMS-10-TRANS Official Q&A Page 1 of 20 OFFICIAL RESPONSES TO VENDOR QUESTIONS RFP-2020-DMS-10-TRANS No. Question Answer 1. Section 1 Introduction, Subsection 1.3 Contract Period Does the Department have the option to extend services past June 30, 2022? See Subsection 1.3, Contract Period 2. Section 3 Statement of Work Is the selected vendor prohibited from providing direct transportation services? The selected vendor may provide direct transportation. However, the selected vendor must ensure a sufficient independent network is maintained. The selected vendor must submit a plan for building and maintaining their own network as well as contracting with transportation providers who have their own companies. 3. Section 3, Statement of Work, Subsection 3.1 Covered Populations Does 2,000 Medicaid beneficiaries represent the total population eligible for NEMT services or the number of unique riders using the program? An average of 2,000 members will be eligible for NEMT services in any given month. However, the Member count for PM/PM is taken on the 15th of each month (point in time) which has averaged 1575 members per month for the first 3 months in calendar year 2020. 4. Section 3, Statement of Work, Subsection 3.1 Covered Populations What membership can we expect to be eligible per month for the RFP years? In any given month there will be an average of 2,000 members that will be eligible for NEMT services. 5. Section 3, Statement of Work, Subsection 3.1 Covered Populations What types of trends does the Department project for membership through the end of the Fee-for-Service membership is a relatively flat curve.
Transcript

New Hampshire Department of Health and Human Services Fee-for-Services (FFS) Medicaid Beneficiaries

RFP-2020-DDMS-10-TRANS Official Q&A Page 1 of 20

OFFICIAL RESPONSES TO VENDOR QUESTIONS RFP-2020-DMS-10-TRANS

No. Question Answer

1.

Section 1 Introduction, Subsection 1.3 Contract Period

Does the Department have the option to extend services past June 30, 2022?

See Subsection 1.3, Contract Period

2.

Section 3 Statement of Work

Is the selected vendor prohibited from providing direct transportation services?

The selected vendor may provide direct transportation. However, the selected vendor must ensure a sufficient independent network is maintained. The selected vendor must submit a plan for building and maintaining their own network as well as contracting with transportation providers who have their own companies.

3.

Section 3, Statement of Work, Subsection 3.1 Covered Populations

Does 2,000 Medicaid beneficiaries represent the total population eligible for NEMT services or the number of unique riders using the program?

An average of 2,000 members will be eligible for NEMT services in any given month. However, the Member count for PM/PM is taken on the 15th of each month (point in time) which has averaged 1575 members per month for the first 3 months in calendar year 2020.

4.

Section 3, Statement of Work, Subsection 3.1 Covered Populations

What membership can we expect to be eligible per month for the RFP years?

In any given month there will be an average of 2,000 members that will be eligible for NEMT services.

5.

Section 3, Statement of Work, Subsection 3.1 Covered Populations

What types of trends does the Department project for membership through the end of the

Fee-for-Service membership is a relatively flat curve.

New Hampshire Department of Health and Human Services Fee-for-Services (FFS) Medicaid Beneficiaries

RFP-2020-DDMS-10-TRANS Official Q&A Page 2 of 20

No. Question Answer

contract term?

6.

Section 3 Statement of Work, Subsection 3.1 Covered Populations, Paragraph 3.1.1, Subparagraph 3.1.1.1

a) How does the department utilize the spenddown process for transportation benefits?

b) How will the selected vendor be notified of benefit limits or when the member has met their spend down limit and are then eligible for a transportation benefit?

a) Once a member is open, the member is eligible for transportation.

b) When a member is open, there are very few limits on his/her transportation benefits.

The selected vendor receives the eligibility file daily from the Department, through their MMIS. A member on spenddown will show as open in the eligibility file when he/she has met their spenddown.

7.

Section 3 Statement of Work, Subsection 3.2 Scope of Services - Process and Fulfill Trip Request, Paragraph 3.2.1

a) Would a random sample percentage suffice instead of 100%?

b) Is this a current program requirement?

c) Will the department consider amending this requirement to reflect industry best practice of 5-10% pre trip verification?

d) Are Mileage Reimbursement trips excluded from the pre-trip verification requirement?

e) If not, how are pre-trip verifications conducted for these trips under the current contract?

f) If the vendor is unable to get the medical facility to respond to a verification notification, is the vendor

a) No.

b) Yes. Regularly scheduled standing appointments can be batch verified rather than verified individually.

c) No.

d) The Department would consider less than 100% pre-trip verification for mileage reimbursement if the selected vendor proposed sufficient safeguards.

e) Members must request preauthorization for mileage reimbursement prior to the appointment.

f) No. Case by case exceptions can be made.

New Hampshire Department of Health and Human Services Fee-for-Services (FFS) Medicaid Beneficiaries

RFP-2020-DDMS-10-TRANS Official Q&A Page 3 of 20

No. Question Answer

required to deny the transportation?

8.

Section 3 Statement of Work, Subsection 3.2 Scope of Services-Process and Fulfill Trip Requests, Paragraph 3.2.2

a) What is the process for determining and handling presumptive eligibility (PE)?

b) What is the process for eligibility verification today?

c) Would the Department consider a transportation request received directly from a medical provider as pre-verified?

a) Any provider that is certified to determine PE may make the eligibility determination. As soon as a member is found eligible under the PE program, the member is eligible for NEMT.

b) The Department sends the Contractor an eligibility file daily. The Contractor is responsible for checking the file to confirm eligibility.

c) Yes.

9.

Section 3 Statement of Work, Subsection 3.2 Scope of Services-Process and Fulfill Trip Requests, Paragraph 3.2.3

Can the Department provide a definition for the ‘adult medical day’ mode of transportation?

This is transportation to and from adult day facilities. Often, the facilities have their own transportation vans and the facility enrolls with the Contractor as a transportation provider.

10.

Section 3, Statement of Work, Subsection 3.2 - Process and Fulfill Trip Request, Paragraph 3.2.5

Are transportation network companies such as Uber and Lyft permitted to provide NEMT services?

Only if such companies can comply with all pre-hire and ongoing background screening and drug testing requirements. Rideshare programs may only consist of a set percentage of the network, which would be negotiated with selected vendor.

11.

Section 3 Statement of Work, Subsection 3.2 Scope of Services - Process and Fulfill Trip Request, Paragraph 3.2.7

a) Would the Department consider limiting the waiver of advance notice for methadone clinic services to mileage

a) Methadone service requests can be approved on a monthly basis rather than by individual appointment for both rides and mileage reimbursement.

b) No.

New Hampshire Department of Health and Human Services Fee-for-Services (FFS) Medicaid Beneficiaries

RFP-2020-DDMS-10-TRANS Official Q&A Page 4 of 20

No. Question Answer

reimbursement only?

b) Would the Department be willing to put transportation services for substance abuse treatment appointments on a separate price structure until this trend levels off to diminish losses to the broker to ensure these members have 24/7 services without limits?

12.

Section 3 Statement of Work, Subsection 3.2 Scope of Services - Process and Fulfill Trip Request, Paragraph 3.2.8., Subparagraph 3.2.8.1

a) Can the Department please expand on the requirement to transport durable medical equipment?

b) Is the selected vendor required to deliver durable equipment to members’ homes?

a) Transportation providers must be able to transport members and their durable medical equipment, which may include, but is not limited to, wheelchair, walker, crutches, and/or oxygen.

b) No.

13.

Section 3 Statement of Work, Subsection 3.2 Scope of Services - Process and Fulfill Trip Request, Paragraph 3.2.9

a) Is the selected vendor permitted to set the mileage reimbursement rate for members or does the State have a set rate that the broker must follow?

b) What is the current advanced notice requirement for mileage reimbursement requests?

a) The State sets the rate.

b) There is a 48-hour advance notice requirement for mileage reimbursement.

c) No.

New Hampshire Department of Health and Human Services Fee-for-Services (FFS) Medicaid Beneficiaries

RFP-2020-DDMS-10-TRANS Official Q&A Page 5 of 20

No. Question Answer

c) Are there any credentialing requirements for recipients or Friends & Family who request mileage reimbursement?

14.

Section 3 Statement of Work, Subsection 3.3 Operation of Call Center

a) Are there any specific staffing requirements for the call center?

b) Does the Department require mobile application or web-based platforms as alternative reservation options?

c) Does the Department require the call center be physically located in the State of New Hampshire?

a) See Section 3 Statement of Work, Subsection 3.3 Scope of Services – Operation of Call Center.

b) Vendors must provide their proposed Call Center Services plan in response to Q7

c) No.

New Hampshire Department of Health and Human Services Fee-for-Services (FFS) Medicaid Beneficiaries

RFP-2020-DDMS-10-TRANS Official Q&A Page 6 of 20

No. Question Answer

15.

Section 3 Statement of Work, Subsection 3.3 Operation of Call Center, Paragraph 3.3.1

Will the Department consider a call center that is staffed with virtual work-from-home agents as long as the vendor can demonstrate sufficient monitoring and compliance to all HIPAA regulations?

Yes. However, the Call Center must meet all requirements in the RFP.

Time Period Monthly Calls

2018-03-01 - 2018-03-31 3,653

2018-04-01 - 2018-04-30 3,536

2018-05-01 - 2018-05-31 3,251

2018-06-01 - 2018-06-30 3,195

2018-07-01 - 2018-07-31 3,156

2018-08-01 - 2018-08-31 3,569

2018-09-01 - 2018-09-30 3,431

2018-10-01 - 2018-10-31 4,179

2018-11-01 - 2018-11-30 4,132

2018-12-01 - 2018-12-31 3,622

2019-01-01 - 2019-01-31 Data Not Available

2019-02-01 - 2019-02-28 4,220

2019-03-01 - 2019-03-31 3,845

2019-04-01 - 2019-04-30 2,187

2019-05-01 - 2019-05-31 2,108

2019-06-01 - 2019-06-30 1,725

2019-07-01 - 2019-07-31 1,880

2019-08-01 - 2019-08-31 2,130

2019-09-01 - 2019-09-30 2,039

2019-10-01 - 2019-10-31 2,062

2019-11-01 - 2019-11-30 1,633

2019-12-01 - 2019-12-31 1,888

2020-01-01 - 2020-01-31 2,129

2020-02-01 - 2020-02-29 1,959

New Hampshire Department of Health and Human Services Fee-for-Services (FFS) Medicaid Beneficiaries

RFP-2020-DDMS-10-TRANS Official Q&A Page 7 of 20

No. Question Answer

16.

Section 3 Statement of Work, Subsection 3.3 Scope of Services - Operation of Call Center, Question 7.

Do the percentages of calls to be answered in 90 seconds remain at the current level of > or = 95%?

No.

17.

Section 3 Statement of Work, Subsection 3.3 Scope of Services - Operation of Call Center, Paragraph 3.3.4

a) Does the 100% pre trip verification requirement apply to afterhours urgent transports?

b) Would the department consider extending the two-hour period for scheduling urgent trips to three (3) hours?

c) Please provide the monthly call volume for the last two (2) years.

a) No.

b) No.

c) Please see Attachment A.

18.

Section 3 Statement of Work, Subsection 3.3 Scope of Services - Operation of Call Center, Paragraph 3.3.6

Can the Department expand on what is expected in requirement to coordinate its call center with the Department’s Customer Service Center?

The NEMT Call Center must have the ability to transfer calls to the Department’s Customer Service Center when a beneficiary has questions relative to eligibility or their specific case.

19. Section 3 Statement of Work, Subsection 3.3 Operation of Call Center Paragraph 3.3.7

Please clarify the other call centers to which

The Department’s Customer Service Center.

New Hampshire Department of Health and Human Services Fee-for-Services (FFS) Medicaid Beneficiaries

RFP-2020-DDMS-10-TRANS Official Q&A Page 8 of 20

No. Question Answer

the selected vendor will be required to transfer calls?

20.

Section 3 Statement of Work, Subsection 3.4 Scope of Services - Grievances & Appeals Process and Beneficiary Satisfaction Surveys, Paragraph 3.4.1

Can satisfaction surveys be conducted through email or text with beneficiaries who opt-into communications?

See Q10 in the RFP.

21.

Section 3 Statement of Work, Subsection 3.4 Scope of Services - Grievances & Appeals Process and Beneficiary Satisfaction Surveys, Paragraph 3.4.2

a) Please define the term, ‘complaint.’

b) How are complaints currently tracked and reported?

c) Is there a separate grievance and appeal process managed by Department, or is the selected vendor’s process serving as the sole grievance process?

a) See Q11 in the RFP.

b) Complaints are reported in a monthly log.

c) There is not a separate formal grievance and appeal process managed by the Department.

22.

Section 3 Statement of Work, Subsection 3.4 Scope of Services - Grievances & Appeals Process and Beneficiary Satisfaction Surveys, Paragraph 3.4.3

Please confirm that swift action is within 24 business hours of vendor being notified of the incident.

Confirmed.

New Hampshire Department of Health and Human Services Fee-for-Services (FFS) Medicaid Beneficiaries

RFP-2020-DDMS-10-TRANS Official Q&A Page 9 of 20

No. Question Answer

23.

Section 3 Statement of Work, Subsection 3.5 Incident Reporting, Paragraph 3.5.2

How will the selected vendor notify the Department during non-business hours?

The Department will provide an telephone number to report after-hour emergencies.

24.

Section 3, Statement of Work, Subsection 3.6 Scope of Services - Driver Selection and Maintenance of Records Requirements, Paragraph 3.6.1, Subparagraph 3.6.1.4

Would the Department consider alternative coverage arrangements than those included in the RFP, as long as neither the Department nor the member were placed at greater risk?

The Department would consider an alternative insurance model if the coverage provided appropriate coverage.

25.

Section 3, Statement of Work, Subsection 3.6 Scope of Services - Driver Selection and Maintenance of Records Requirements, Paragraph 3.6.1, Subparagraph 3.6.1.5. Performance Commitments, Part 3.6.1.5.1

Would the Department consider relaxing the zero tolerance policy for driver no-shows to one that supports less than 1% driver no-shows to account for conditions out of control such as vehicular breakdown, weather, etc?

See Addendum #5

26.

Section 3, Statement of Work, Subsection 3.6 Scope of Services - Driver Selection and Maintenance of Records Requirements, Paragraph 3.6.1, Subparagraph 3.6.1.5. Performance Commitments, Part 3.6.1.5.1., Subpart 3.6.1.5.1.2

a) Would the Department consider

a) No.

b) 10 days from the report of the no-show.

New Hampshire Department of Health and Human Services Fee-for-Services (FFS) Medicaid Beneficiaries

RFP-2020-DDMS-10-TRANS Official Q&A Page 10 of 20

No. Question Answer

amending this requirement to only require a root cause analysis and report when the missed trip resulted in a complaint?

b) Does the Department mean within ten (10) days of the report of the driver no-show or ten (10) days of the event of the driver no-show?

27.

Section 3, Statement of Work, Subsection 3.6 Scope of Services - Driver Selection and Maintenance of Records Requirements, Paragraph 3.6.1, Subparagraph 3.6.1.5 Performance Commitments, Part 3.6.1.5., Part 3.6.1.5.2

Will the Department consider revising this requirement for standard pick up to a window of 15 minutes prior to and 15 minutes after scheduled pick up time?

No.

28.

Section 3 Statement of Work, Subsection 3.6 Scope of Services- Driver Selection and Maintenance of Records Requirements, Paragraph 3.6.1, Subparagraph 3.6.1.7

Please identify the fees and how the selected vendor will be made aware of such fees?

Fees generally include the cost to the member for finding alternative transportation. The Department will notify the selected vendor when these fees are incurred.

29.

Section 3, Statement of Work, Subsection 3.6 Scope of Services - Driver Selection and Maintenance of Records Requirements, Paragraph 3.6.1, Subparagraph 3.6.1.6 Selected Vendor Corrective Action Plan,

a) See Q4 of the RFP.

b) See Q4 of the RFP.

New Hampshire Department of Health and Human Services Fee-for-Services (FFS) Medicaid Beneficiaries

RFP-2020-DDMS-10-TRANS Official Q&A Page 11 of 20

No. Question Answer

Part 3.6.1.9

a) What is the required advance notice period for non-urgent trips?

b) Is the Department expecting bidders to propose their own advance notice requirement?

30.

Section 3, Statement of Work, Subsection 3.6 Scope of Services - Driver Selection and Maintenance of Records Requirements, Paragraph 3.6.2, Subparagraph 3.6.2.5 Performance Commitments, Part 3.6.2.5.1

Will exterior vehicle signage also be required?

Exterior vehicle signage is not required.

31.

Section 3, Statement of Work, Subsection 3.6 Scope of Services - Driver Selection and Maintenance of Records Requirements, Paragraph 3.6.2, Subparagraph 3.6.2.8 Transportation provider Pre-Service Inspections

a) Are New Hampshire state inspections sufficient or is the vendor also required to inspect vehicles prior to go live and annually?

b) Is the expectation that the Transportation Provider completes the pre-service inspection or that the vendor’s staff completes the pre-service inspection of vehicles?

a) See Subparagraph 3.6.2.7 and Subparagraph 3.6.2.8.

b) See Subparagraph 3.6.2.8.

32. Section 3 Statement of Work, Subsection 3.6 Scope of Services - Driver Selection and

a) Drivers must hold a license to operate the vehicle being operated.

New Hampshire Department of Health and Human Services Fee-for-Services (FFS) Medicaid Beneficiaries

RFP-2020-DDMS-10-TRANS Official Q&A Page 12 of 20

No. Question Answer

Maintenance of Records Requirement, Paragraph 3.6.3, Subparagraph 3.6.3.2 Driver Selection, Reporting and Record Maintenance

Do the vehicle and/or drivers have to be licensed by a specific authority?

33.

Section 3, Statement of Work, Subsection 3.6 Scope of Services - Driver Selection and Maintenance of Records Requirements, Paragraph 3.6.3 Driver Standards, Subparagraph 3.6.3.2. Driver Selection, Reporting and Record Maintenance, Part 3.6.3.2.2

Will a drug screen policy that is, at a minimum, compliant with NH State requirements satisfy this requirement?

See Part 3.6.3.2.2

34.

Section 3, Statement of Work, Subsection 3.6 Scope of Services - Driver Selection and Maintenance of Records Requirements,, Paragraph 3.6.5, Subparagraph 3.6.5.4, Part 3.6.5.4.2

Does the SOW include door-to-door and hand-to-hand Level of Service?

See Addendum #5

35.

Section 3, Statement of Work, Subsection 3.6 Scope of Services - Driver Selection and Maintenance of Records Requirements, Paragraph 3.6.9

Please confirm the preventative and routine service records, including daily inspection

Confirmed.

New Hampshire Department of Health and Human Services Fee-for-Services (FFS) Medicaid Beneficiaries

RFP-2020-DDMS-10-TRANS Official Q&A Page 13 of 20

No. Question Answer

records, are to be retained by the Transportation Provider and subject to audit by the selected vendor.

36.

Section 3, Statement of Work, Subsection 3.8 Readiness Testing, Paragraph 3.8.1

a) Please confirm that a minimum of 90 calendar days will be provided from contract award to go-live.

b) Please provide the expected Award Date AND the expected Go-Live date so that bidders can ensure compliance with the required implementation plan.

a) Confirmed.

b) Anticipated award date: May 2020. Anticipated Go Live: To be determined.

37.

Section 3, Statement of Work, Subsection 3.9 Reporting Requirements, Paragraph 3.9.1

a) Would the Department consider amending this requirement to only report on the total number of warm transfers?

b) Would the Department allow the submission of voice analytics data to determine which programs recipients are being transferred to along with trending?

c) What were the monthly averages of warm transfers from Vendors to the Department over the past two years?

a) See Addendum #5

b) Yes.

c) Less than or equal to 35 calls per month.

38. Section 3 Statement of Work, Subsection 3.10 Performance Measures, Paragraph 3.10.1

A) It is expected that vendors will submit a proposed report card with metrics, which will be finalized during the contracting process.

New Hampshire Department of Health and Human Services Fee-for-Services (FFS) Medicaid Beneficiaries

RFP-2020-DDMS-10-TRANS Official Q&A Page 14 of 20

No. Question Answer

a) Please clarify performance report card metric expectations and how often it must be submitted.

b) How is the data for the vendor performance report card, which seems to be based on consumer satisfaction, calculated?

c) How does the survey satisfaction rate factor into the vendor report card data?

B) See A. Additionally, some metrics will be based on consumer satisfaction.

C) It is a component of the vendor report card.

39.

Section 3, Statement of Work, Subsection 3.11 Compliance, Paragraph 3.11.2

a) Can the Department please provide a copy of the security and privacy requirements?

b) Please confirm that the awarded vendor will reserve the right to negotiate the security requirements as set forth by the state.

a) The selected vendor must comply with HIPAA as well as the technology requirements outlined in the RFP.

b) The State will consider all communication methods that are HIPAA compliant.

40.

Section 4, Financial Standards, Subsection 4.2, Rate Sheet – Appendix D

Does the agency have an anticipated total funding for this project?

The Department will pay the rates pursuant to the resulting contract.

41.

Section 4, Finance, Subsection 4.2 Rate Sheet - Appendix D, Paragraph 4.2.1, Subparagraph 4.2.1.2.

a) Would the department consider removing any points for start up or reducing the point total for Start Up

See Addendum #2

New Hampshire Department of Health and Human Services Fee-for-Services (FFS) Medicaid Beneficiaries

RFP-2020-DDMS-10-TRANS Official Q&A Page 15 of 20

No. Question Answer

Costs?

b) Can the Department please clarify whether total available points for Start Up Costs plus Start Up Narrative are 100 points or 200 points?

42.

Section 7 Proposal Outline and Requirements, Subsection 7.2 Outline and Detail, Paragraph 7.2.8

Does the State consider transportation providers to be subcontractors for the purposes of this RFP?

Yes.

43.

Section 7 Proposal Outline and Requirements, Subsection 7.2 Outline and Detail, Paragraph 7.2.8 Subcontractor Letters of Commitment

Would the State please consider extending the RFP date to allow time to gather LOIs?

See Addendum #4

44.

Section 7 Proposal Outline and Requirements, Subsection 7.2 Outline and Detail, Paragraph 7.2.11 Required Attachments, Subparagraph 7.2.11.1

Are Proposers allowed to submit additional Attachments to support our response?

Yes.

45.

Section 7 Proposal Outline and Requirements, Subsection 7.2 Outline and Detail, Paragraph 7.2.11 Required Attachments, Subparagraph 7.2.11.1

Please clarify whether the Answers to

Please include answers as indicated in Paragraph 7.2.5

New Hampshire Department of Health and Human Services Fee-for-Services (FFS) Medicaid Beneficiaries

RFP-2020-DDMS-10-TRANS Official Q&A Page 16 of 20

No. Question Answer

Questions in Section 3 are to be included as an Attachment as stated here, or in Paragraph 7.2.5. Proposal Narrative, Project Approach, and Technical Response.

46.

Section 7 Proposal Outline and Requirements, Subsection 7.2 Outline and Detail, Paragraph 7.2.11 Required Attachments, Subparagraph 7.2.11.2., Part 7.2.11.2.2

Please confirm Appendix D, Rate Sheet is to be submitted as a separate component, and should not be included as an Attachment to Technical Proposal as stated here.

See Addendum #2

47.

Section 8 Mandatory Business Specifications, Subsection 8.1 Contract Terms, Conditions, and Liquidated Damages, Forms, Paragraph 8.1.2 Liquidated Damages, Subparagraph 8.1.2.1

Will the department consider a cure period of 90 days following the go live wherein there are no liquidated damages assessed, so the vendor can focus on an orderly transition of service?

Requests will be evaluated on a case-by-case basis as they are fact specific.

48.

Appendix A

Please confirm that the bidder is not required to return portion of Appendix A in their proposal.

Do not return Appendix A.

49. Appendix B Key staff.

New Hampshire Department of Health and Human Services Fee-for-Services (FFS) Medicaid Beneficiaries

RFP-2020-DDMS-10-TRANS Official Q&A Page 17 of 20

No. Question Answer

Please clarify if the State wants all turnover for all staff or just key staff.

50.

Appendix D Rate Sheets, Section 1, Subsection 1.3

a) Please provide the total number of trips provided by level of service for for the past 3 calendar years?

b) Please provide the number of eligible members by month for the latest year.

c) What is the annual paid trip volume by treatment type for the past three years?

d) What is the average distance per trip by level of service for the past three years?

e) Are there any modes of service in the scope not included in the percentages of modes of transportation table, such as ALS and Stretcher?

f) Would the state be willing to be accept alternative pricing such as a risk corridor, where an initial PMPM is set but rebates are calculated monthly based on cost and utilization and settled every six months?

g) Would the plan consider using an alternative pricing method until experience with the plan population allows a more accurate evaluation of PMPM?

h) Please confirm 2,000 members

a) In any given month there will be an average of 2,000 members that will be eligible for NEMT services. See the Rate Sheet located at Appendix D for a percentage by service type.

b) In any given month there will be an average of 2,000 members that will be eligible for NEMT services.

c) Data not available at this time.

d) Data not available at this time.

e) All modes of transportation are included. Those that were greater than 1% of total usage are listed in the RFP.

f) No.

g) No.

h) In any given month there will be an average of 2,000 members that will be eligible for NEMT services.

i) $ PM/PM amount for each category and the total $ PM/PM

j) The current agreement can be found http://sos.nh.gov/GC2.aspx. Meeting Date: December 18, 2019, Item # 20.

New Hampshire Department of Health and Human Services Fee-for-Services (FFS) Medicaid Beneficiaries

RFP-2020-DDMS-10-TRANS Official Q&A Page 18 of 20

No. Question Answer

represent eligible member’s not just members utilizing service.

i) Please clarify if under Transportation Component and Administrative Component Proposer is to input PMPMs or percentages?

j) Please provide link to current agreement and pricing table related to that agreement (resulting from RFB-2017-OMBP-01-NEMT award)?

51.

Appendix F Liquidated Damages

How does the Department define "deviation of policy?"

A deviation of policy is a failure to comply with policy as written.

52.

Appendix F Liquidated Damages, Incident/Accident/Significant Event Reporting 3.5

Are Liquidated Damages applicable to the 12-hour timeframe when the report is received during the Department’s non-business hours, weekends and holidays?

No.

53.

Appendix F, Liquidated Damages, Provider Timeliness 3.6.1.5.1

Is the turnaround time triggered by receiving trip approval from the Department?

Trip approval is not given by the Department. The selected vendor will receive an eligibility file daily. The selected vendor is responsible for checking eligibility against the file. The Department is available for clarification, but, does not grant approval for each trip.

54. Appendix F, Liquidated Damages, Provider Timeliness 3.6.1.5.2

Will the Department consider not assessing

No, the Department will assess liquated damages on a case to case basis.

New Hampshire Department of Health and Human Services Fee-for-Services (FFS) Medicaid Beneficiaries

RFP-2020-DDMS-10-TRANS Official Q&A Page 19 of 20

No. Question Answer

liquidated damages unless a vendor goes below 90% on time levels?

55.

Appendix K

What level of ADA/W3C compliance is required for web/mobile applications as applicable to this RFP?

The Department requires WCAG level 2.0 AA.

56.

General

How does the Department foresee the possible ramifications of the current COVID-19 outbreak on the timing of both the contract award and eventual go-live date?

As a result, the response time for the RFP has been extended.

57. General

Do you require real time tracking of vehicles? No.

New Hampshire Department of Health and Human Services Fee-for-Services (FFS) Medicaid Beneficiaries

RFP-2020-DDMS-10-TRANS Official Q&A Page 20 of 20

No. Question Answer

58.

General

Please provide the top 10 drop off destination points.

Drop Off Site Drop Off Address

DH - MANCHESTER METRO TREATMENT CENTER

228 MAPLE ST Manchester

DH - CONCORD METRO TREATMENT CENTER

100 HALL ST Concord

DH - MERRIMACK RIVER MEDICAL ASSOCIATES

200 ROUTE 108 Somersworth

DH - HABIT OPCO 20 MARKET ST Manchester

DH - MERRIMACK RIVER MEDICAL SERVICES

323 DERRY RD Hudson

DH - KEENE METRO CLINIC

1076 W SWANZEY RD Keene

DH - MERRIMACK RIVER MEDICAL ASSOCIATES

177 SHATTUCK WAY Newington

DH - HABIT OPCO

258 N PLAINFIELD RD W Lebanon

DH - FARNUM CENTER 700 LAKE AVE Manchester

DH - DARTMOUTH-HITCHCOCK CLINIC

1 MEDICAL CENTER DR Lebanon

Delivered Rides by Destination RFP-2020-DMS-10-TRANS

Official Question and AnswerAttachment A

Time Period Data Submitter

2016-01-01 - 2016-03-31 Medicaid Fee For Service - A. Hospital

2016-01-01 - 2016-03-31 Medicaid Fee For Service - B. Medical Provider

2016-01-01 - 2016-03-31 Medicaid Fee For Service - C. Mental Health Provider

2016-01-01 - 2016-03-31 Medicaid Fee For Service - D. Dentist

2016-01-01 - 2016-03-31 Medicaid Fee For Service - E. Pharmacy

2016-01-01 - 2016-03-31 Medicaid Fee For Service - F. Methadone Treatment

2016-01-01 - 2016-03-31 Medicaid Fee For Service - G. Other

2016-04-01 - 2016-06-30 Medicaid Fee For Service - A. Hospital

2016-04-01 - 2016-06-30 Medicaid Fee For Service - B. Medical Provider

2016-04-01 - 2016-06-30 Medicaid Fee For Service - C. Mental Health Provider

2016-04-01 - 2016-06-30 Medicaid Fee For Service - D. Dentist

2016-04-01 - 2016-06-30 Medicaid Fee For Service - E. Pharmacy

2016-04-01 - 2016-06-30 Medicaid Fee For Service - F. Methadone Treatment

2016-04-01 - 2016-06-30 Medicaid Fee For Service - G. Other

2016-07-01 - 2016-09-30 Medicaid Fee For Service - A. Hospital

2016-07-01 - 2016-09-30 Medicaid Fee For Service - B. Medical Provider

2016-07-01 - 2016-09-30 Medicaid Fee For Service - C. Mental Health Provider

2016-07-01 - 2016-09-30 Medicaid Fee For Service - D. Dentist

2016-07-01 - 2016-09-30 Medicaid Fee For Service - E. Pharmacy

2016-07-01 - 2016-09-30 Medicaid Fee For Service - F. Methadone Treatment

2016-07-01 - 2016-09-30 Medicaid Fee For Service - G. Other

2016-10-01 - 2016-12-31 Medicaid Fee For Service - A. Hospital

2016-10-01 - 2016-12-31 Medicaid Fee For Service - B. Medical Provider

2016-10-01 - 2016-12-31 Medicaid Fee For Service - C. Mental Health Provider

2016-10-01 - 2016-12-31 Medicaid Fee For Service - D. Dentist

2016-10-01 - 2016-12-31 Medicaid Fee For Service - E. Pharmacy

2016-10-01 - 2016-12-31 Medicaid Fee For Service - F. Methadone Treatment

2016-10-01 - 2016-12-31 Medicaid Fee For Service - G. Other

2017-01-01 - 2017-03-31 Medicaid Fee For Service - A. Hospital

2017-01-01 - 2017-03-31 Medicaid Fee For Service - B. Medical Provider

2017-01-01 - 2017-03-31 Medicaid Fee For Service - C. Mental Health Provider

2017-01-01 - 2017-03-31 Medicaid Fee For Service - D. Dentist

2017-01-01 - 2017-03-31 Medicaid Fee For Service - E. Pharmacy

2017-01-01 - 2017-03-31 Medicaid Fee For Service - F. Methadone Treatment

2017-01-01 - 2017-03-31 Medicaid Fee For Service - G. Other

2017-04-01 - 2017-06-30 Medicaid Fee For Service - A. Hospital

2017-04-01 - 2017-06-30 Medicaid Fee For Service - B. Medical Provider

2017-04-01 - 2017-06-30 Medicaid Fee For Service - C. Mental Health Provider

2017-04-01 - 2017-06-30 Medicaid Fee For Service - D. Dentist

2017-04-01 - 2017-06-30 Medicaid Fee For Service - E. Pharmacy

2017-04-01 - 2017-06-30 Medicaid Fee For Service - F. Methadone Treatment

2017-04-01 - 2017-06-30 Medicaid Fee For Service - G. Other

2017-07-01 - 2017-09-30 Medicaid Fee For Service - A. Hospital

2017-07-01 - 2017-09-30 Medicaid Fee For Service - B. Medical Provider

2017-07-01 - 2017-09-30 Medicaid Fee For Service - C. Mental Health Provider

2017-07-01 - 2017-09-30 Medicaid Fee For Service - D. Dentist

Delivered Rides by Destination RFP-2020-DMS-10-TRANS

Official Question and AnswerAttachment A

2017-07-01 - 2017-09-30 Medicaid Fee For Service - E. Pharmacy

2017-07-01 - 2017-09-30 Medicaid Fee For Service - F. Methadone Treatment

2017-07-01 - 2017-09-30 Medicaid Fee For Service - G. Other

2017-10-01 - 2017-12-31 Medicaid Fee For Service - A. Hospital

2017-10-01 - 2017-12-31 Medicaid Fee For Service - B. Medical Provider

2017-10-01 - 2017-12-31 Medicaid Fee For Service - C. Mental Health Provider

2017-10-01 - 2017-12-31 Medicaid Fee For Service - D. Dentist

2017-10-01 - 2017-12-31 Medicaid Fee For Service - E. Pharmacy

2017-10-01 - 2017-12-31 Medicaid Fee For Service - F. Methadone Treatment

2017-10-01 - 2017-12-31 Medicaid Fee For Service - G. Other

2018-01-01 - 2018-03-31 Medicaid Fee For Service - A. Hospital

2018-01-01 - 2018-03-31 Medicaid Fee For Service - B. Medical Provider

2018-01-01 - 2018-03-31 Medicaid Fee For Service - C. Mental Health Provider

2018-01-01 - 2018-03-31 Medicaid Fee For Service - D. Dentist

2018-01-01 - 2018-03-31 Medicaid Fee For Service - E. Pharmacy

2018-01-01 - 2018-03-31 Medicaid Fee For Service - F. Methadone Treatment

2018-01-01 - 2018-03-31 Medicaid Fee For Service - G. Other

2018-04-01 - 2018-06-30 Medicaid Fee For Service - A. Hospital

2018-04-01 - 2018-06-30 Medicaid Fee For Service - B. Medical Provider

2018-04-01 - 2018-06-30 Medicaid Fee For Service - C. Mental Health Provider

2018-04-01 - 2018-06-30 Medicaid Fee For Service - D. Dentist

2018-04-01 - 2018-06-30 Medicaid Fee For Service - E. Pharmacy

2018-04-01 - 2018-06-30 Medicaid Fee For Service - F. Methadone Treatment

2018-04-01 - 2018-06-30 Medicaid Fee For Service - G. Other

2018-07-01 - 2018-09-30 Medicaid Fee For Service - A. Hospital

2018-07-01 - 2018-09-30 Medicaid Fee For Service - B. Medical Provider

2018-07-01 - 2018-09-30 Medicaid Fee For Service - C. Mental Health Provider

2018-07-01 - 2018-09-30 Medicaid Fee For Service - D. Dentist

2018-07-01 - 2018-09-30 Medicaid Fee For Service - E. Pharmacy

2018-07-01 - 2018-09-30 Medicaid Fee For Service - F. Methadone Treatment

2018-07-01 - 2018-09-30 Medicaid Fee For Service - G. Other

2018-10-01 - 2018-12-31 Medicaid Fee For Service - A. Hospital

2018-10-01 - 2018-12-31 Medicaid Fee For Service - B. Medical Provider

2018-10-01 - 2018-12-31 Medicaid Fee For Service - C. Mental Health Provider

2018-10-01 - 2018-12-31 Medicaid Fee For Service - D. Dentist

2018-10-01 - 2018-12-31 Medicaid Fee For Service - E. Pharmacy

2018-10-01 - 2018-12-31 Medicaid Fee For Service - F. Methadone Treatment

2018-10-01 - 2018-12-31 Medicaid Fee For Service - G. Other

2019-01-01 - 2019-03-31 Medicaid Fee For Service - A. Hospital

2019-01-01 - 2019-03-31 Medicaid Fee For Service - B. Medical Provider

2019-01-01 - 2019-03-31 Medicaid Fee For Service - C. Mental Health Provider

2019-01-01 - 2019-03-31 Medicaid Fee For Service - D. Dentist

2019-01-01 - 2019-03-31 Medicaid Fee For Service - E. Pharmacy

2019-01-01 - 2019-03-31 Medicaid Fee For Service - F. Methadone Treatment

2019-01-01 - 2019-03-31 Medicaid Fee For Service - G. Other

2019-04-01 - 2019-06-30 Medicaid Fee For Service - A. Hospital

2019-04-01 - 2019-06-30 Medicaid Fee For Service - B. Medical Provider

Delivered Rides by Destination RFP-2020-DMS-10-TRANS

Official Question and AnswerAttachment A

2019-04-01 - 2019-06-30 Medicaid Fee For Service - C. Mental Health Provider

2019-04-01 - 2019-06-30 Medicaid Fee For Service - D. Dentist

2019-04-01 - 2019-06-30 Medicaid Fee For Service - E. Pharmacy

2019-04-01 - 2019-06-30 Medicaid Fee For Service - F. Methadone Treatment

2019-04-01 - 2019-06-30 Medicaid Fee For Service - G. Other

2019-07-01 - 2019-09-30 Medicaid Fee For Service - A. Hospital

2019-07-01 - 2019-09-30 Medicaid Fee For Service - B. Medical Provider

2019-07-01 - 2019-09-30 Medicaid Fee For Service - C. Mental Health Provider

2019-07-01 - 2019-09-30 Medicaid Fee For Service - D. Dentist

2019-07-01 - 2019-09-30 Medicaid Fee For Service - E. Pharmacy

2019-07-01 - 2019-09-30 Medicaid Fee For Service - F. Methadone Treatment

2019-07-01 - 2019-09-30 Medicaid Fee For Service - G. Other

2019-10-01 - 2019-12-31 Medicaid Fee For Service - A. Hospital

2019-10-01 - 2019-12-31 Medicaid Fee For Service - B. Medical Provider

2019-10-01 - 2019-12-31 Medicaid Fee For Service - C. Mental Health Provider

2019-10-01 - 2019-12-31 Medicaid Fee For Service - D. Dentist

2019-10-01 - 2019-12-31 Medicaid Fee For Service - E. Pharmacy

2019-10-01 - 2019-12-31 Medicaid Fee For Service - F. Methadone Treatment

2019-10-01 - 2019-12-31 Medicaid Fee For Service - G. Other

Report Details Generated on Apr 07 2020 at 13:18

Measures: NEMT Requests Delivered by

Type of Medical Service Max Time Periods: 16

Organizations: Medicaid Fee For Service

Data Publish Statuses: Published, Published - Late LD,

Published - Standard Not Met LD, Published - Concern

Citation: NH Department of Health and

Human Services. Bureau of Quality

Assurance and Improvement. Report

generated on Apr 07 2020 at 13:18.

[http://medicaidquality.nh.gov]

Disclaimer: While the NH Department of Health and

Human Services - Bureau of Quality Assurance and

Improvement makes every effort to post accurate and

reliable information, it does not guarantee or warrant that

the information on this website is complete, accurate or

up-to-date and assumes no responsibility for the use or

application of any posted material.

Delivered Rides by Destination RFP-2020-DMS-10-TRANS

Official Question and AnswerAttachment A

Quarterly Count of Rides to Specific Service Total Quarterly Rides Measure Rate

239 16,913 1.40%

5,287 16,913 31.30%

928 16,913 5.50%

86 16,913 0.50%

64 16,913 0.40%

10,309 16,913 61.00%

0 16,913 0.00%

100 17,456 0.60%

4,667 17,456 26.70%

808 17,456 4.60%

49 17,456 0.30%

80 17,456 0.50%

11,748 17,456 67.30%

4 17,456 0.00%

36 16,247 0.20%

4,101 16,247 25.20%

723 16,247 4.50%

90 16,247 0.60%

88 16,247 0.50%

11,207 16,247 69.00%

2 16,247 0.00%

30 13,541 0.20%

3,632 13,541 26.80%

508 13,541 3.80%

60 13,541 0.40%

65 13,541 0.50%

9,246 13,541 68.30%

0 13,541 0.00%

29 10,421 0.30%

2,153 10,421 20.70%

663 10,421 6.40%

61 10,421 0.60%

51 10,421 0.50%

7,462 10,421 71.60%

2 10,421 0.00%

44 11,282 0.40%

2,422 11,282 21.50%

1,072 11,282 9.50%

81 11,282 0.70%

79 11,282 0.70%

7,580 11,282 67.20%

4 11,282 0.00%

56 13,220 0.40%

2,256 13,220 17.10%

1,027 13,220 7.80%

54 13,220 0.40%

Delivered Rides by Destination RFP-2020-DMS-10-TRANS

Official Question and AnswerAttachment A

94 13,220 0.70%

9,730 13,220 73.60%

3 13,220 0.00%

67 11,933 0.60%

2,045 11,933 17.10%

706 11,933 5.90%

50 11,933 0.40%

51 11,933 0.40%

8,958 11,933 75.10%

56 11,933 0.50%

75 14,857 0.50%

2,713 14,857 18.30%

1,246 14,857 8.40%

67 14,857 0.50%

71 14,857 0.50%

10,679 14,857 71.90%

6 14,857 0.00%

237 19,287 1.20%

3,919 19,287 20.30%

1,380 19,287 7.20%

90 19,287 0.50%

71 19,287 0.40%

13,478 19,287 69.90%

112 19,287 0.60%

225 17,426 1.30%

3,792 17,426 21.80%

1,489 17,426 8.50%

73 17,426 0.40%

82 17,426 0.50%

11,765 17,426 67.50%

0 17,426 0.00%

242 19,758 1.20%

4,263 19,758 21.60%

1,555 19,758 7.90%

51 19,758 0.30%

109 19,758 0.60%

13,538 19,758 68.50%

0 19,758 0.00%

58 5,929 1.00%

1,854 5,929 31.30%

492 5,929 8.30%

62 5,929 1.00%

30 5,929 0.50%

3,433 5,929 57.90%

0 5,929 0.00%

44 5,549 0.80%

1,882 5,549 33.90%

Delivered Rides by Destination RFP-2020-DMS-10-TRANS

Official Question and AnswerAttachment A

531 5,549 9.60%

20 5,549 0.40%

21 5,549 0.40%

3,051 5,549 55.00%

0 5,549 0.00%

101 5,426 1.90%

1,734 5,426 32.00%

536 5,426 9.90%

32 5,426 0.60%

37 5,426 0.70%

2,985 5,426 55.00%

1 5,426 0.00%

83 4,869 1.70%

1,212 4,869 24.90%

479 4,869 9.80%

60 4,869 1.20%

45 4,869 0.90%

2,956 4,869 60.70%

34 4,869 0.70%

Monthly Call Volume RFP-2020-DMS-10-TRANS

Official Question and AnswerAttachment A

Time Period Monthly Calls

2018-03-01 - 2018-03-31 3,653

2018-04-01 - 2018-04-30 3,536

2018-05-01 - 2018-05-31 3,251

2018-06-01 - 2018-06-30 3,195

2018-07-01 - 2018-07-31 3,156

2018-08-01 - 2018-08-31 3,569

2018-09-01 - 2018-09-30 3,431

2018-10-01 - 2018-10-31 4,179

2018-11-01 - 2018-11-30 4,132

2018-12-01 - 2018-12-31 3,622

2019-01-01 - 2019-01-31 Data Not Available

2019-02-01 - 2019-02-28 4,220

2019-03-01 - 2019-03-31 3,845

2019-04-01 - 2019-04-30 2,187

2019-05-01 - 2019-05-31 2,108

2019-06-01 - 2019-06-30 1,725

2019-07-01 - 2019-07-31 1,880

2019-08-01 - 2019-08-31 2,130

2019-09-01 - 2019-09-30 2,039

2019-10-01 - 2019-10-31 2,062

2019-11-01 - 2019-11-30 1,633

2019-12-01 - 2019-12-31 1,888

2020-01-01 - 2020-01-31 2,129

2020-02-01 - 2020-02-29 1,959

Note: data prior to 01/01/2019

included call Medicaid

Expansion in addition to the Fee-

for-Service population.


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